Wall Drugs of Johnsonville, Inc.
NPI 1245321363 · Pharmacy · Johnsonville, SC
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wall Drugs of Johnsonville, Inc. is a Pharmacy organization in Johnsonville, SC (NPI 1245321363).
Provider details
- NPI number
- 1245321363
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Derrick Wall, Owner Rph(843) 386-6135
- License
- 50006733 (SC)
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
27 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Administration of Influenza Virus VaccineG0008 | 27 | $30 |
Typical Medicare-allowed amounts for these services range $30–$30 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-09-27
- Last updated
- 2021-02-12
- Certified
- 2021-02-12
Frequently asked questions
- What is Wall Drugs of Johnsonville, Inc.'s NPI number?
- Wall Drugs of Johnsonville, Inc.'s National Provider Identifier (NPI) is 1245321363, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wall Drugs of Johnsonville, Inc.?
- Wall Drugs of Johnsonville, Inc. is classified in the NPPES registry as Pharmacy (Suppliers).
- Where is Wall Drugs of Johnsonville, Inc. located?
- Wall Drugs of Johnsonville, Inc.'s practice location on file with NPPES is 239 Stuckey Street, Johnsonville, SC 29555.
- What is Wall Drugs of Johnsonville, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Wall Drugs of Johnsonville, Inc. is (843) 386-6135.
- Does Wall Drugs of Johnsonville, Inc. accept Medicare?
- Wall Drugs of Johnsonville, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Wall Drugs of Johnsonville, Inc.?
- The authorized official listed on Wall Drugs of Johnsonville, Inc.'s NPPES record is Derrick Wall, Owner Rph. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wall Drugs of Johnsonville, Inc.'s NPI active?
- Yes — Wall Drugs of Johnsonville, Inc.'s NPI (1245321363) is active in the NPPES registry as of the last update on 2021-02-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.